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Published in: Angiogenesis 1/2020

01-02-2020 | Kidney Cancer | Review Paper

Vessel co-option and resistance to anti-angiogenic therapy

Authors: Elizabeth A. Kuczynski, Andrew R. Reynolds

Published in: Angiogenesis | Issue 1/2020

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Abstract

Vessel co-option is a non-angiogenic mechanism of tumour vascularisation in which cancer cells utilise pre-existing blood vessels instead of inducing new blood vessel formation. Vessel co-option has been observed across a range of different tumour types, in both primary cancers and metastatic disease. Importantly, vessel co-option is now implicated as a major mechanism that mediates resistance to conventional anti-angiogenic drugs and this may help to explain the limited efficacy of this therapeutic approach in certain clinical settings. This includes the use of anti-angiogenic drugs to treat advanced-stage/metastatic disease, treatment in the adjuvant setting and the treatment of primary disease. In this article, we review the available evidence linking vessel co-option with resistance to anti-angiogenic therapy in numerous tumour types, including breast, colorectal, lung and pancreatic cancer, glioblastoma, melanoma, hepatocellular carcinoma, and renal cell carcinoma. The finding that vessel co-option is a significant mechanism of resistance to anti-angiogenic therapy may have important implications for the future of anti-cancer therapy, including (a) predicting response to anti-angiogenic drugs, (b) the need to develop therapies that target both angiogenesis and vessel co-option in tumours, and (c) predicting the response to other therapeutic modalities, including immunotherapy.
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Metadata
Title
Vessel co-option and resistance to anti-angiogenic therapy
Authors
Elizabeth A. Kuczynski
Andrew R. Reynolds
Publication date
01-02-2020
Publisher
Springer Netherlands
Published in
Angiogenesis / Issue 1/2020
Print ISSN: 0969-6970
Electronic ISSN: 1573-7209
DOI
https://doi.org/10.1007/s10456-019-09698-6

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